Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $247.52 / $797.84	Facility		$41.47	$247.52	$797.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.54 / $7.55 / $10.42	Facility	26	$7.54	$7.55	$10.42
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.44 / $207.20 / $458.34	Facility	TC	$22.44	$207.20	$458.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $30.00 / $56.37	Professional		$21.75	$30.00	$56.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $7.60 / $25.62	Professional	26	$6.65	$7.60	$25.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.58 / $76.58 / $76.58	Professional	50	$76.58	$76.58	$76.58
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.10 / $14.22 / $19.78	Professional	52	$10.10	$14.22	$19.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.91 / $21.92 / $36.25	Professional	TC	$16.91	$21.92	$36.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $85.42 / $135.71	Facility		$64.56	$85.42	$135.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $41.15 / $59.64	Professional		$28.59	$41.15	$59.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $10.43 / $14.91	Professional	26	$7.95	$10.43	$14.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.11 / $42.88 / $51.36	Professional	50	$37.11	$42.88	$51.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.31 / $31.09 / $44.73	Professional	TC	$22.31	$31.09	$44.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $180.22 / $351.64	Facility		$37.50	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $34.15 / $59.61	Professional		$22.68	$34.15	$59.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.66 / $9.75 / $16.69	Professional	26	$6.66	$9.75	$16.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.66 / $23.34 / $41.25	Professional	TC	$15.66	$23.34	$41.25
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $37.97 / $57.28	Facility		$30.00	$37.97	$57.28
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $52.85 / $56.31	Professional		$52.85	$52.85	$56.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $46.28 / $62.85	Professional		$37.14	$46.28	$62.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $11.65 / $15.82	Professional	26	$9.35	$11.65	$15.82
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.81 / $34.65 / $47.06	Professional	TC	$27.81	$34.65	$47.06
United Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $43.80 / $67.08	Professional		$26.14	$43.80	$67.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $13.03 / $21.84	Professional	26	$7.59	$13.03	$21.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.26 / $31.35 / $48.16	Professional	TC	$18.26	$31.35	$48.16